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Contact Information

KELLI CORDOVA, RN
5281 NW WICKIUP WAY
PORTLAND, OR97229-7160
 Phone: 503-430-0625
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for KELLI CORDOVA · (Female)

NPI Number 1073797023
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 12/27/2007
Last updated 12/27/2007 - About 18 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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